LIA GALLAGHER
NPI 1780191080
Nurse Practitioner - Family in Pittsburgh, PA

Active since January 08, 2018PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
5230 CENTRE AVE RM 208, NORTH TOWER SUITE 538, PITTSBURGH, PA 15232(412) 623-6806 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2021, Feb 26, 2021, Jan 8, 2018 (3 updates tracked since 2018).

About Lia Gallagher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIA GALLAGHER (NPI 1780191080) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP018460) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1780191080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLIA GALLAGHER
Location Address5230 CENTRE AVE RM 208, NORTH TOWER SUITE 538Pittsburgh, PA 15232-1304
Mailing Address218 Sweet Gum Rd, North Tower Suite 538Pittsburgh, PA 15238-1347
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 8, 2018
Last NPPES UpdateMay 24, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1780191080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP018460
5230 CENTRE AVE RM 208, Pittsburgh, PA 15232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lia Gallagher is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335404060
PECOS Enrollment IDI20180611002051
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lia Gallagher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
5230 CENTRE AVENUE
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Diagnostic Radiology
5230 CENTRE AVE
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lia Gallagher's NPI number?

The NPI number for Lia Gallagher is 1780191080. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Lia Gallagher located?

Lia Gallagher practices at 5230 Centre Ave Rm 208 North Tower Suite 538, Pittsburgh, PA 15232. The listed phone number is (412) 623-6806.

What is Lia Gallagher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lia Gallagher enrolled in Medicare?

Yes. Lia Gallagher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lia Gallagher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lia Gallagher reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA) and Upmc Community Medicine Inc (Pittsburgh, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lia Gallagher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lia Gallagher affiliated with any hospitals?

According to CMS data, Lia Gallagher is affiliated with Upmc St Margaret.

When was this NPI record last updated?

The NPPES record for Lia Gallagher was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.